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胎膜早破与羊膜腔内感染

[Premature rupture of fetal membranes and intra-amnionic infection].

作者信息

Lotric-Pentek S, Sormaz G

出版信息

Jugosl Ginekol Opstet. 1977;17(5-6):309-16.

PMID:618167
Abstract

Although the group under study was small (90 cases) but compared with the control group of the same size it did reveal some facts: 1. The duration of labour was much shorter (by 8 hours on the average) in the control than in the study group. 2. The result of the assessment of the condition of children by the Apgar score was somewhat better in the control group, which is understandable with regard to the subsequent delivery course in the group of children with a premature bursting of the bag of waters. 3. The percentage of directed labour in the group under study was significantly higher (60%). 4. Surgical completion of labour in the study group (10%) was more frequent than in the control group (4.4%). Breech presentation was observed only in the study group (5.5%) which corroborates the old rule that in any premature bursting of the bag of waters, along with all kinds of delivery complications, also the cephalopelvic disproportion and some irregular presentation of the fetus in labour should be expected. 5. Although in the premature bursting of the bag of waters the duration of labour is longer (14 hours and 19 minutes) than in the control group (5 hours and 40 minutes), no more frequent infection, either in newborns or mothers, has been observed.

摘要

尽管所研究的组规模较小(90例),但与同等规模的对照组相比,确实揭示了一些事实:1. 对照组的产程比研究组短得多(平均短8小时)。2. 根据阿氏评分评估儿童状况的结果,对照组稍好一些,考虑到胎膜早破组儿童随后的分娩过程,这是可以理解的。3. 研究组中引产的比例显著更高(60%)。4. 研究组(10%)经手术完成分娩的情况比对照组(4.4%)更常见。仅在研究组中观察到臀位(5.5%),这证实了一条旧规则,即在任何胎膜早破的情况下,除了各种分娩并发症外,还应预期头盆不称和分娩时胎儿的一些胎位异常。5. 尽管胎膜早破时的产程比对照组(5小时40分钟)更长(14小时19分钟),但未观察到新生儿或母亲感染更频繁的情况。

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1
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